Continuous glucose monitoring: The achievement of 100 years of innovation in diabetes technology

Diabetes Res Clin Pract. 2020 Dec:170:108502. doi: 10.1016/j.diabres.2020.108502. Epub 2020 Oct 13.

Abstract

Monitoring of glucose levels is essential to effective diabetes management. Over the past 100 years, there have been numerous innovations in glucose monitoring methods. The most recent advances have centered on continuous glucose monitoring (CGM) technologies. Numerous studies have demonstrated that use of continuous glucose monitoring confers significant glycemic benefits on individuals with type 1 diabetes (T1DM) and type 2 diabetes (T2DM). Ongoing improvements in accuracy and convenience of CGM devices have prompted increasing adoption of this technology. The development of standardized metrics for assessing CGM data has greatly improved and streamlined analysis and interpretation, enabling clinicians and patients to make more informed therapy modifications. However, many clinicians many be unfamiliar with current CGM and how use of these devices may help individuals with T1DM and T2DM achieve their glycemic targets. The purpose of this review is to present an overview of current CGM systems and provide guidance to clinicians for initiating and utilizing CGM in their practice settings.

Keywords: AGP; Ambulatory Glucose Profile; CGM; Continuous glucose monitoring; HbA1c; Intermittently scanned CGM; Real-time CGM; Type 1 diabetes; Type 2 diabetes; isCGM; rtCGM.

Publication types

  • Review

MeSH terms

  • Blood Glucose / analysis*
  • Blood Glucose Self-Monitoring / methods*
  • Diabetes Mellitus, Type 1 / therapy*
  • Diabetes Mellitus, Type 2 / therapy*
  • Humans
  • Longitudinal Studies
  • Technology / methods*

Substances

  • Blood Glucose